<div class="row form-horizontal" style="background: #fff;">
	<div class="form-group">
	  <label class="col-sm-2 control-label form-label"><span style="padding-right: 15px;">收货人</span></label>
	  <div class="col-sm-8">
	    <input type="text" class="form-control" id="user_name" placeholder="收货人名称" value="{$T.name}">
	  </div>
	</div>
	<div class="tr_fenge"></div>
	<div class="form-group">
	  <label class="col-sm-2 control-label form-label">手机号码</label>
	  <div class="col-sm-8">
	    <input type="text" class="form-control" id="mobile" placeholder="11位手机号" value="{$T.mobile}">
	  </div>
	</div>
	<div class="tr_fenge"></div>
	<div class="form-group">
	  <label class="col-sm-2 control-label form-label">选择地区</label>
	  <div class="col-sm-8">
	    <input type="text" class="form-control" id="area_path" placeholder="地区信息" value="{$T.area_path}">
	  </div>
	  <span><img onclick="openmap()" src="../image/dingwei@2x.png" style="width: 13px; height: 17px;margin-top: 1.2rem;"></span>
	</div>
	<div class="tr_fenge"></div>
	<div class="form-group" style="min-height: 6rem;height: auto;">
	  <label class="col-sm-2 control-label form-label">详细地址</label>
	  <div class="col-sm-8">
	    <!--<input type="text" class="form-control" id="card_name3" placeholder="街道门牌信息">-->
	    	<textarea class="form-control" id="address" placeholder="街道门牌信息">{$T.address}</textarea>
	  </div>
	</div>  
	<div class="tr_fenge"></div>
	<div class="form-group">
	  <label class="col-sm-2 control-label form-label">邮政编码</label>
	  <div class="col-sm-8">
	    <input type="text" class="form-control" id="zip_code" placeholder="邮政编码" value="{$T.zip_code}">
	  </div>
	</div>  
	<div class="tr_fenge"></div>
	<div class="form-group">
	  <label class="col-sm-2 control-label form-label">是否默认</label>
	  <div class="col-sm-8">
	    <input {#if $T.is_default == 1} checked="checked" {#/if}style="width: 1.5rem;margin-left: 1rem;" type="checkbox" class="form-control" id="is_default">
	  </div>
	</div> 
</div> 


<div data-role="footer" data-position="fixed">
    <div id="confrim_button" onclick="submitEdit({$T.id})">保存</div>
</div>